AngioJet Ultra thrombectomy for the treatment of limb endovascular aortic graft occlusion
10.3760/cma.j.cn113855-20200317-00210
- VernacularTitle:AngioJet机械吸栓治疗腹主动脉瘤腔内修复术后髂支闭塞病变
- Author:
Xiaofeng HAN
1
;
Guangrui LIU
;
Tiezheng LI
;
Xi GUO
Author Information
1. 首都医科大学附属北京安贞医院介入诊疗科 100029
- From:
Chinese Journal of General Surgery
2020;35(10):801-805
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To assess the value of AngioJet Ultra thrombectomy device in dealing with limb graft occlusion after endovascular repair for abdominal aortic aneurysm.Methods:The clinical data of 12 unilateral limb graft occlusion cases treated with percutaneous mechanical thrombectomy (PMT) after endovascular aortic repair (EVAR) for abdominal aortic aneurysm (AAA) from Dec 2014 to Nov 2019 was retrospectively analyzed.Results:All 12 patients were male, age ranging from (63±12) years old.Four cases had left iliac limb graft occlusion and eight cases had right iliac limb graft occlusion. All cases were treated with PMT and iliac branch angioplasty. Successful rate was 100%.Nine cases with bifurcated stent-graft were then implanted bare/covered stent. Postoperative intermittent claudication/ gluteus claudication disappeared. Hemoglobinuria occurred in 2 cases after operation, in which one suffered from mild renal impairment and recovered. Median following-up time was 18 months, there was no recurrence of lower limb ischemia.Conclusion:Application of AngioJet Ultra thrombectomy device in PMT treatment was safe, effective and less traumatic for iliac limb graft occlusion after endovascular anortic repair for abdominal aortic aneurysm.
